Olivia Ryncarz

Individual provider Active NPI Occupational Therapist · Mantua, OH

NPI 1104640622 · NPPES record last updated Nov 12, 2024

Key facts

NPI
1104640622
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT013054 (OH)
Practice address
10600 Peck Rd
Mantua, OH 44255-9505
Phone
(330) 221-7634
NPI assigned
Nov 12, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT013054OHMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT013054 OH Yes

Addresses

Primary practice location

10600 Peck Rd
Mantua, OH 44255-9505

Mailing address

10600 Peck Rd
Mantua, OH 44255-9505
Phone (330) 221-7634

Other providers in Mantua, OH

All providers in Mantua, OH · Occupational Therapist in Ohio

Sources for this page

Verify at the official NPI Registry.